NURS PHARM FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023
UPDATE
1) A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor the
client for which of the following electrolyte imbalances?
a) Hypernatremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hyponatremia.
b) Hyperuricemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hyperuricemia. The
nurse should instruct the client to notify the provider for any tenderness or swelling of the joints.
c) Hypercalcemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hypocalcemia.
d) Hyperchloremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hypochloremia.
2) A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she is
experiencing flank pain. Which of the following adverse effects should the nurse suspect?
,NURS PHARM FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023
UPDATE
a) Renal stones
3) A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following
laboratory values should the nurse monitor for a therapeutic effect of warfarin?
a) Hemoglobin
b) Prothrombin time (PT)
i) Rationale: This test is used to monitor warfarin therapy. For a client receiving full anticoagulant
therapy,should typically be approximately two to three times the normal value, depending on
the indication for therapeutic anticoagulation.
c) Bleeding time
d) Activated partial thromboplastin time (aPTT)
4) A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The
nurse should recognize which of the following medications can cause glucose intolerance?
a) Ranitidine
i) Serum creatinine levels
b) Guafenesin
i) Drowsiness and dizziness
,NURS PHARM FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023
UPDATE
c) Prednisone
i) Glucose intolerance and hyperglycemia, patient might require increased dosage of hypoglycemic med.
d) Atorvastatin
i) Thyroid function tests.
5) A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this
medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to
decrease levels of which of the following components in the bloodstream?
a) Glucose
b) Ammonia
i) Rationale: Lactulose, a disaccharide, is a sugar that works as an osmotic diuretic. It prevents
absorption of ammonia in the colon. Accumulation of ammonia in the bloodstream, which occurs
in pathologic conditions of the liver, such as cirrhosis, may affect the central nervous system,
causing hepatic encephalopathy or coma.
c) Potassium
d) Bicarbonate
6) A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of
the following findings indicates a therapeutic response to the medication?
, NURS PHARM FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023
UPDATE
a) Decrease in level of thyroxine (T4)
i) Rationale: If the dose of this medication has been adequate, the nurse should see an increase in the T4.
b) Increase in weight
i) Rationale: If the dose of this medication has been adequate, the nurse should see a decrease in weight,
as hypothyroidism causes a decrease in metabolism with weight gain.
c) Increase in hr of sleep per night
i) Rationale: If the dose of this medication has been adequate, the nurse should see a decrease in the hr
of sleep per night, as hypothyroidism causes sluggishness with increased hr of sleep.
d) Decrease in level of thyroid stimulating hormone (TSH).
i) Rationale: In hypothyroidism, the nonfunctioning thyroid gland is unable to respond to the TSH, and no
endogenous thyroid hormones are released. This results in an elevation of the TSH level as the anterior
pituitary continues to release the TSH to stimulate the thyroid gland. Administration of exogenous
thyroid hormones, such as levothyroxine, turns off this feedback loop, which results in a decreased level
of TSH.
7) A nurse is educating a group of clients about the contraindications of warfarin therapy. Which of the following
statements should the nurse include in the teaching?
a) "Clients who have glaucoma should not take warfarin."
b) "Clients who have rheumatoid arthritis should not take warfarin."
c) "Clients who are pregnant should not take warfarin."
UPDATE
1) A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor the
client for which of the following electrolyte imbalances?
a) Hypernatremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hyponatremia.
b) Hyperuricemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hyperuricemia. The
nurse should instruct the client to notify the provider for any tenderness or swelling of the joints.
c) Hypercalcemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hypocalcemia.
d) Hyperchloremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hypochloremia.
2) A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The client tells the nurse she is
experiencing flank pain. Which of the following adverse effects should the nurse suspect?
,NURS PHARM FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023
UPDATE
a) Renal stones
3) A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following
laboratory values should the nurse monitor for a therapeutic effect of warfarin?
a) Hemoglobin
b) Prothrombin time (PT)
i) Rationale: This test is used to monitor warfarin therapy. For a client receiving full anticoagulant
therapy,should typically be approximately two to three times the normal value, depending on
the indication for therapeutic anticoagulation.
c) Bleeding time
d) Activated partial thromboplastin time (aPTT)
4) A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The
nurse should recognize which of the following medications can cause glucose intolerance?
a) Ranitidine
i) Serum creatinine levels
b) Guafenesin
i) Drowsiness and dizziness
,NURS PHARM FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023
UPDATE
c) Prednisone
i) Glucose intolerance and hyperglycemia, patient might require increased dosage of hypoglycemic med.
d) Atorvastatin
i) Thyroid function tests.
5) A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this
medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to
decrease levels of which of the following components in the bloodstream?
a) Glucose
b) Ammonia
i) Rationale: Lactulose, a disaccharide, is a sugar that works as an osmotic diuretic. It prevents
absorption of ammonia in the colon. Accumulation of ammonia in the bloodstream, which occurs
in pathologic conditions of the liver, such as cirrhosis, may affect the central nervous system,
causing hepatic encephalopathy or coma.
c) Potassium
d) Bicarbonate
6) A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of
the following findings indicates a therapeutic response to the medication?
, NURS PHARM FINAL EXAM QUESTIONS WITH ANSWERS 2022/2023
UPDATE
a) Decrease in level of thyroxine (T4)
i) Rationale: If the dose of this medication has been adequate, the nurse should see an increase in the T4.
b) Increase in weight
i) Rationale: If the dose of this medication has been adequate, the nurse should see a decrease in weight,
as hypothyroidism causes a decrease in metabolism with weight gain.
c) Increase in hr of sleep per night
i) Rationale: If the dose of this medication has been adequate, the nurse should see a decrease in the hr
of sleep per night, as hypothyroidism causes sluggishness with increased hr of sleep.
d) Decrease in level of thyroid stimulating hormone (TSH).
i) Rationale: In hypothyroidism, the nonfunctioning thyroid gland is unable to respond to the TSH, and no
endogenous thyroid hormones are released. This results in an elevation of the TSH level as the anterior
pituitary continues to release the TSH to stimulate the thyroid gland. Administration of exogenous
thyroid hormones, such as levothyroxine, turns off this feedback loop, which results in a decreased level
of TSH.
7) A nurse is educating a group of clients about the contraindications of warfarin therapy. Which of the following
statements should the nurse include in the teaching?
a) "Clients who have glaucoma should not take warfarin."
b) "Clients who have rheumatoid arthritis should not take warfarin."
c) "Clients who are pregnant should not take warfarin."
